STR Flashcards
physiologic effect of massage
Mechanical stimulation of tissues by rhythmically applied
pressure and stretching
massage is often use to
increase flexibility and coordination, decrease pain
& neuromuscular excitability, stimulate circulation and facilitate
healing
effect of massage may be either
reflexive or mechanical
reflexive effect of massage
Effects sensory and motor nerves locally and some central nervous
system response
Attempts to exert effects through skin and superficial
mechanical effect of massage
Makes mechanical or histological changes in myofascial structures
through direct force applied superficially
reflexive effect of massage contact what and cause what
Contact stimulates cutaneous receptors
* Reflex mechanism is believed to be an autonomic nervous system
phenomenon
- The reflex stimulus causes sedation, relieves tension, increases
blood flow
what is the effect on pain and on circulation of reflexive effect
Effects on pain
* Modulates pain through gate control & b-endorphins
* Effects on Circulation
* Increase blood flow
* Light touch causes transient dilation of lymphatics and small capillaries
* Results in increased temperature in area
* Increased lymphatic flow
* Assists in removal of edema
* May also impact lactate clearance
mechanical effect is a technique which
Techniques which stretch a muscle, elongate fascia or mobilize soft
tissue adhesions or restrictions
as mechanicsl stimulus become _ effective, reflex stimulus become _ effective
more, less
mechanical effect is directed at
deeper tissues, such as adhesions or restrictions in muscle,
tendons, and fascia.
effect on muscle of the mechanical effect of massage
Mechanical stretching of intramuscular connective tissue
* To relieve pain and discomfort associated with myofascial trigger points
* Increase blood flow to skeletal muscle
* To retard muscle atrophy following injury
* To increase range of motion
* Does not increase strength or muscle tone
mechanical effect on skin of massage
Increase in skin temperature
* Increases sweating
* Mechanically loosens adhesions
and softens scar
* Stretches and breaks down
fibrous scar tissue
* Breaks down adhesions between
skin and subcutaneous tissue
what are the psychological effect of massage
Psychological effects of massage can be as beneficial as
physiologic effects
*
“Hands on” effect helps patients feel as if someone is helping
them
* Lowers psycho-emotional and somatic arousal
* Tension & anxiety
with swelling where do we need to begin the massage
begin proximally to facilitate
lymphatic flow –”effleurage \ lymphatic draining”
STR indication
is useful when time is limited
* Anyone recovering from MSK injuries
* STR may help lengthen and encourage pliability of
tissues
* Increase ROM
* Help with orientation of collagen fibers during healing
how does STR work
STR by targeting the less pliable part of the muscle
* “Fix” part of the muscle against underlying structures creating
a false insertion pointà this is called “Locking”
caution of STR before and after event
pre: stretching can decrease muscle force
post: micro trauma from event, increase level of pain relieving hormone
benefit of STR
Improves flexibility and posture
* Alleviates pain of muscle tension
* Takes pressure off associated joint structures
* STR can help in stretching tissues without causing the joint to
move through its full range.
what are the 3 methods of STR
passive, active-assisted, active
explain passive STR
The therapist applies a lock and moves the clients body part so as to facilitate a stretch.
explain active assisted STR
Requires the client and the therapist to work together.
* The therapist applies a lock and the client moves his or her
body part to bring about the stretch.
explain active STR
The client applies a lock to themselves and also performs the
stretch without assistance. Active STR can be performed by
almost anyone and does not require a therapist to be present.
how to do str
- Identify the muscle that needs to be stretched and the
direction of the fibers - Ensure muscle is in a neutral position.
- Explain the procedure to the client
While muscle is in neutral position, gently lock the muscle.
(start proximal)
- Explain the procedure to the client
- While maintaining the lock, stretch the muscle.
- Once muscle has been stretched, release the lock and return
to neutral. - Choose another point, working proximal to distal until you
reach the distal tendon.
5 R help with what
improve flex, decrease P!, reduce adhesion
